自我护理互动模式对胸腰椎骨折患者自理能力及健康行为的影响.docVIP

精品论文 参考文献 自我护理互动模式对胸腰椎骨折患者自理能力及健康行为的影响 (商丘市第一人民医院骨二科 河南商丘 476100） [摘要] 目的：探讨自我护理互动模式对胸腰椎骨折患者自理能力及健康行为的影响。方法：选取2014年8月至2015年8月于商丘市第一人民医院骨二科就诊的胸腰椎骨折患者60例，随机分成观察组和对照组，分别实施自我护理互动模式及常规护理，每组各30例。将两组自理知识及自理技能的掌握程度、日常生活活动能力（ADL）评分、护理后满意度、出院后主动咨询率及并发症发生率进行对比。结果：观察组患者自理知识及技能的掌握程度、ADL评分、护理后满意度、出院后主动咨询率及并发症发生率均优于对照组，差异显著（P＜0.05）。结论；自我护理互动模式可以有效提高患者自理能力，养成良好健康行为，达到缓解患者病情的目的。 [关键词] 自我护理互动；胸腰椎骨折；自理能力；健康行为 Effect of Self - care Interaction Mode on Self - care Ability and Health Behavior of Patients with Thoracolumbar Vertebrae Fracture Xiong Xuehua (Shangqiu First Peoples Hospital, Shangqiu, Henan 476100) [Abstract] Objective: To explore the self-care and self-care model of patients with thoracolumbar fractures and the impact of self-care behavior. Methods: Sixty patients with thoracolumbar fractures from August 2014 to August 2015 were randomly divided into two groups: the observation group and the control group. The self-care interaction model and routine nursing care were used in each group. Group of 30 cases. (ADL), post - nursing satisfaction, voluntary counseling rate and the incidence of complications were compared between the two groups in terms of self - knowledge, self - care skills, mastery of self - care skills, ADL scores. Results: The level of self - knowledge and skill, ADL score, post - nursing satisfaction, active consultation rate and complication rate of the observation group were better than those of the control group (P lt;0.05). Conclusion: Self-care interaction model can effectively improve the ability of self-care, develop good health behavior, to achieve the purpose of alleviating the patients condition. [Key words] self-care interaction; thoracolumbar fractures; self-care ability; health behavior 胸腰椎骨折是指由外力造成的胸腰椎骨质连???性破坏，是临床最常见的脊柱损伤[1]。在当今社会建筑业、交通业的发展下，胸腰椎骨折患者数量逐渐增多，由于此类骨骼的特殊性，患者常需卧床至少1-3个月，甚至更长，加之患者及家属缺乏相关的医疗护理知识，易出现并发症或引起二次损伤，威胁患者的生命安全[2]。故本研究以Orem 自理学说为理论依据，在常规护理方法基础上针对胸腰椎骨折患者的健康需求，构建自我护理互动模式，对比常规护理干预，效果显著。现将结果示下。 1 资料与方法 1.1